TY  - JOUR
PY  - 2019//
TI  - Perinatal mental health and risk of child maltreatment: a systematic review and meta-analysis
JO  - Child abuse and neglect
A1  - Ayers, Susan
A1  - Bond, Rod
A1  - Webb, Rebecca
A1  - Miller, Pamela
A1  - Bateson, Karen
SP  - e104172
EP  - e104172
VL  - 98
IS  - 
N2  - BACKGROUND: Mental health problems in parents have been identified as a risk factor for child maltreatment. The perinatal period (from conception to 1 year) is a critical period but it is unclear whether perinatal mental health problems are also associated with increased risk. <br><br>OBJECTIVE: To review evidence on perinatal mental health and risk of child maltreatment. <br><br>METHODS: Searches were conducted on six databases and 24 studies reported in 30 papers identified. Studies were conducted in seven countries, mainly the USA (n = 14). Sample sizes ranged from 48-14,893 and most examined mothers (n = 17). Studies were conducted in community (n = 17) or high-risk (n = 7) samples. <br><br>RESULTS: The majority of studies found a relationship between parental perinatal mental health problems and risk of child maltreatment, but inconsistent findings were observed between and within studies. The few studies that examined fathers (n = 6) all found a relationship between fathers' mental health and risk of child maltreatment. Meta-analysis of 17 studies (n = 22,042) showed perinatal mental health problems increased risk of child maltreatment by OR 3.04 (95% CI 2.29-4.03). This relationship was moderated by type of sample, with larger effects for risk of child maltreatment in high-risk samples. The relationship was not moderated by type of mental illness, child maltreatment; methodological or measurement factors. <br><br>CONCLUSION: The association between perinatal mental health and risk of child maltreatment is similar to that observed at other times during childhood. <br><br>METHODological heterogeneity and inconsistent findings mean conclusions are tentative and need to be considered alongside other individual, family and social/cultural risk factors.<br><br>Crown Copyright © 2019. Published by Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2019.104172
ID  - ref1
ER  -